Individual provider Active NPI

Charles William McMahon, M.D.

  • Gastroenterology Physician
  • Kansas City, MO
National Provider Identifier
1861768053
Registry record updated Mar 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2015013288 Issued in MO
Practice address
4321 Washington St Ste 5600
Kansas City, MO 64111-5936
Phone
(816) 561-2000
NPI assigned
Apr 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2015013288 MO
Gastroenterology Physician 207RG0100X 2015013288 MO Primary

Addresses

Primary practice location

4321 Washington St Ste 5600
Kansas City, MO 64111-5936

Mailing address

4321 Washington St Ste 5600
Kansas City, MO 64111-5936
Phone (816) 561-2000

Other practice location 1

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-0257

Other practice location 2

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-0257

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmcmahon@gimagic.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210504001504 MO Practitioner - Gastroenterology 3577798339 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Oklahoma College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians
Mid America Gastro Intestinal Consultants P CGroup PAC ID 3274558549, 6 clinicians

Practice addresses (Care Compare)

4321 Washington St
Suite 5100
Kansas City, MO 64111-5933
Phone (913) 491-9100

4321 Washington St
Suite 5600
Kansas City, MO 64111-5936
Phone (816) 561-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.43 of 100Reported as group
Quality
73.45
Promoting interoperability
100
Improvement activities
40
Cost
58

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy271
Upper gastrointestinal (GI) endoscopy for acid reflux160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc Internal Medicine CurrentSince Jan 25, 2022 Accepting new patients
Saint Lukes-Gi Diagnostics LLC Current Accepting new patients

Locations

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

4321 Washington St
Ste 5600
Kansas City, MO 64111
Phone (816) 416-8373

4321 Washington St
Ste 5100
Kansas City, MO 64111
Phone (816) 756-2255

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

Interoperability endpoints

  • Direct secure messaging: cmcmahon86782@direct.saint-lukes.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709337600000",
    "number": "1861768053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 WASHINGTON ST STE 5600",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115936",
            "telephone_number": "816-561-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 WASHINGTON ST STE 5600",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115936",
            "telephone_number": "816-561-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Wornall Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641113220",
            "country_code": "US",
            "telephone_number": "816-932-0257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4401 Wornall Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641113220",
            "country_code": "US",
            "telephone_number": "816-932-0257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-01",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2015013288",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2015013288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmcmahon@gimagic.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4321 Washington St Ste 5600",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641115936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.